Combined Femtosecond Laser-Assisted Cataract Surgery and Small-Gauge Pars Plana Vitrectomy Using Different Devices: A New Trend for Vitreoretinal Surgery?

Ophthalmic Surgery, Lasers & Imaging Retina
Bruno de Queiroz AlvesMauricio Maia

Abstract

To report the efficacy, safety, and benefits of femtosecond laser-assisted cataract surgery (FLACS) combined with sutureless 23-gauge pars plana vitrectomy (PPV). This multicenter, retrospective study evaluated patient records and videos of 43 cases with retinal pathologies and cataract who underwent the combined procedure. In 44.2% and 55.8% of cases, respectively, the LenSx Laser (femtosecond machine; Alcon, Fort Worth, TX) and the Constellation (vitreous cutter; Alcon, Fort Worth, TX), and the Victus (femtosecond machine; Bausch + Lomb, Rochester, NY) and Stellaris PC (vitreous cutter; Bausch + Lomb, Rochester, NY) were used. No complications developed during capsulorrhexis, even without a red fundus reflex, retrobulbar block, or scleral indentation. Foldable intraocular lenses remained stable in the capsular bag during the vitreoretinal surgeries and postoperative visits. The mean times of femtosecond phacoemulsification, vitreoretinal surgery, and total surgery were 22.9 minutes ± 4.7 minutes, 43.1 minutes ± 9.8 minutes, and 65.3 minutes ± 8.6 minutes, respectively. This emerging technology is safe and offers several potential benefits for the success of the combined procedure. [Ophthalmic Surg Lasers Imaging Retina. 2018;...Continue Reading

References

Sep 17, 2002·Journal of Cataract and Refractive Surgery·Rubina Rahman, Paul H Rosen
Oct 22, 2008·Acta Ophthalmologica·Wensheng LiChangwen Sun
Dec 17, 2009·Journal of Refractive Surgery·Zoltan NagyMelvin Sarayba
Nov 19, 2010·Science Translational Medicine·Daniel V PalankerWilliam Culbertson
Jun 28, 2011·Journal of Cataract and Refractive Surgery·Neil J FriedmanWilliam W Culbertson
Nov 15, 2011·Current Opinion in Ophthalmology·Harvey S UyNick Curtis
Nov 20, 2013·Current Opinion in Ophthalmology·Aifric I MartinGerard Sutton

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Citations

Jan 10, 2020·International Ophthalmology·Masaomi KubotaTadashi Nakano
Feb 27, 2020·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Karl Thomas Boden, P Szurman

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